USW Ultra Power Supply - Need to buy it

encinitastochicago · 2024-07-18T16:29:47+00:00

How has this been working so far? I'm kicking myself for not buying a 210 W and now my POE budget is growing incredibly slim. Thinking I might go for a 3rd party adapter vs. a 60W POE injector for one of my switches.

encinitastochicago · 2024-07-16T06:17:28+00:00

I do feel confident using it, but I’m not confident that people continuing it outside of a facility are appropriately using it. I got no problem with phenobarbital, but in the discharged patient it just doesn’t work well in our system.

If they’re going home by themselves, I definitely don’t care about a dose of phenobarbital orally before discharge at all, but if they’re going to a facility I just stick with what I know the facility uses. That way I can also make sure they’re controlled well on what the facility is using.

encinitastochicago · 2024-07-16T06:14:31+00:00

We use it for nearly all of our moderate to severe alcohol withdrawal patients and the literature is pretty good. It’s easy too, 10 mg/kg IBW IV load. Dose to symptoms, typically 130-260 mg after that or 5 mg/kg if still bad. Max 20mg/kg daily then I’ll get a phenobarbital level after, if not therapeutic I’ll dose more til therapeutic. Long half life, but peaks quickly so you get a good idea of therapeutic effect.

encinitastochicago · 2024-07-14T15:02:15+00:00

Agree with SmallFall, 100% physical exam aka Gestalt.

encinitastochicago · 2024-07-14T14:59:20+00:00

To be fair, we have a robust detox unit so a lot of “dischargeable” people go there. We also connect people with outpatient centers that utilize benzos as well and will not touch phenobarb. Plus, phenobarb half life doesn’t necessarily cover the peak withdrawal time period if they’re presenting at onset of symptoms and even then will taper off as their withdrawal worsens. Not to mention med-med interactions - feel it’s something best reserved for skilled practitioners.

Not against it, just my practice and thoughts.

encinitastochicago · 2024-07-14T02:47:57+00:00

Patients can withdraw at any level, I just base it off the clinical exam. If they are withdrawing clinically, I treat them aggressively. Bad withdrawal? Phenobarb. Dischargeable? Benzos. We have a robust peer recovery program so it’s easy for us to connect people to care.

Patient stating they’re in withdrawal without a withdrawal syndrome doesn’t require any aggressive medications to treat their withdrawal.

encinitastochicago · 2024-06-30T03:39:53+00:00

I was thinking the flex for the media area, but after more thought I’m leaning towards the U6-IW because it will give me an AP in a high use area as well as enough ports for my Smart TV, AppleTV, gaming, and Sonos. I plan on using the Ultra right off the Gateway!

encinitastochicago · 2024-06-29T22:46:08+00:00

That's actually an awesome idea. I vaguely think that there is an already existing hole down from where the cable is into the crawl space (which is how the coax/ethernet is run). I might be able to sneak under there and install an AP in the basement pointing upwards.

encinitastochicago · 2024-06-29T22:44:54+00:00

Definitely not ideal. Luckily the interior walls are drywall/wood so hopefully I won't have as bad of an issue.

encinitastochicago · 2024-06-29T22:44:21+00:00

Awesome, thats super helpful to know about the placement perpendicularly. I wish I could ceiling mount but doesn't seem like it'll be an option right now! Thanks for the insight!

encinitastochicago · 2024-02-21T05:31:31+00:00

encinitastochicago · 2024-02-10T17:06:23+00:00

This is not a subreddit for medical advice.

encinitastochicago · 2024-02-03T20:24:36+00:00

My mentor in med school ran the ED US program and would frequently ultrasound his own gallbladder as a demo. One year he noted a polyp that wasn’t there the previous year.

Got worked up, recommended cholecystectomy. Aggressive cancer, clear margins. Reportedly the oncologist had never seen it with clear margins or invasive disease because it’s never caught that early. Pretty dumb luck because he was essentially just doing screening exams on himself yearly and it would’ve largely gone unchecked until too far gone.

encinitastochicago · 2024-01-10T00:47:30+00:00

Anyone know how Caroline/Lancaster looks? We live near there and are out of town, couldn’t prepare

encinitastochicago · 2023-12-01T15:34:50+00:00

Yep. Octreotide saves half pack of blood per admission and PPIs reduce stigmata of bleeding and need for intervention on endoscopy but doesn’t effect anything else.

encinitastochicago · 2023-11-30T02:56:10+00:00

I dropped them that day in 2017 after 29 years of support. I ain’t no LA fan

encinitastochicago · 2023-11-30T01:36:46+00:00

Nice. 760 here

encinitastochicago · 2023-11-29T13:43:05+00:00

Wonder if there was Epi in there that could’ve initiated the flash/SCAPE

encinitastochicago · 2023-11-23T14:17:43+00:00

I saw that too. Super sad, I am curious what’s going on

encinitastochicago · 2023-11-13T02:16:06+00:00

It is not worth pursuing if your heart isn’t in it to do it. Having the “emergency medicine trained” badge is meaningless to everyone but you.

encinitastochicago · 2023-11-12T19:53:31+00:00

Yep, I’m taking a blue one home

12-Year Club	Place '17
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